Ghosts from the past – Autopsy Case for Pathologists – Cartoon

Beware Pathologists ! When ghosts and witches question you on the cause of  their death you should be ready to answer all their questions. (Halloween Special)

ghost11

ghost22

Clinicopathological correlation based on pathological finding:

Post mortem examination revealed the progression of complications from acute pancreatitis leading to multiorgan failure.

pancreas

The fatty changes of the liver suggest that there was predisposing alcoholic liver disease.

liver22        alcohol

Previous history of alcoholic pancreatitis and the long standing fibrosis seen around the ampulla of Vater supported this.

This perhaps meant there was an increased risk of pancreatitis from the likely swelling and edema following Endoscopic retrograde cholangiopancreatography (ERCP).

The pancreas was completely necrosed and the lipases released from the destroyed acini lead to the extensive fat necrosis in the abdomen.

The organs confirmed that infection must have occurred from any one of the invasive procedures or surgery.

Spleen had a classic septic appearance.

spleen

There was evidence that disseminated intravascular coagulation may have resulted with the appearance of red spots in the renal cortex and myocardium.

heart1        kidney

The features in the kidneys were consistent with the anuric, acute renal failure.

The lungs were seriously congested and airways contained large amount of blood (haemoptysis) necessitating the tracheostomy seen.

The final stage was most likely that a combination of the hypotension and ischaemia from his triple coronary artery atheroma (caused by the above events) lead to a subendocardial infarction.

myoinfarct33

coronill

myocardinfarct22

myocardinfarct11

Histopathology Images of Myocardial Infarction

Cause of Death:

1a.  Subendocardial Infarction

1b.  Hypotension

1c.  Disseminated Intravascular Coagulation

1d.  Staphylococcal Infection

1e.  Acute Pancreatitis

1f.  Alcohol Liver Disease

witch 

” This pathologist has answered all my questions. If you are a pathologist please join social media immediately, we may need you for consultation. – Witch “

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